Fertility
Signs of male infertility: what to look for and what helps
Male factors contribute to around half of couples’ difficulties conceiving, yet men are often the last to be checked. Here are the signs of male infertility, and what you can do.
In short: Many men with fertility problems have no obvious symptoms, and the main sign is not conceiving after 12 months of regular unprotected sex. Other signs can include low drive, erection or ejaculation problems, testicular pain or swelling, reduced body hair and breast tissue growth. A semen analysis is the key test.
The main sign
Not conceiving after one year of regular unprotected sex (or six months if your partner is over 35) is the most common sign. Both partners should be assessed.
Possible signs in men
- Low sex drive or erection difficulties
- Problems with ejaculation or very low semen volume. See how to increase semen volume naturally.
- Pain, swelling or a lump in the testicles. See varicocele.
- Small or firm testicles
- Reduced facial or body hair
- Breast tissue growth. See gynecomastia causes.
- A history of undescended testicles, mumps after puberty, or groin surgery
Common causes
- Varicocele
- Infections such as STIs or mumps orchitis
- Hormone problems, including low testosterone
- Anabolic steroid use. See steroids and erectile dysfunction.
- Smoking, heavy alcohol and recreational drugs
- Excess weight
- Heat exposure
- Some medicines
- Genetic conditions
Semen analysis
A semen analysis checks volume, sperm count, movement (motility) and shape (morphology). An appropriately registered medical professional or fertility clinic can arrange it. Results vary, so a second test is often needed. See what causes low sperm count in men.
Natural steps that support fertility
- Stop smoking and limit alcohol.
- Keep a healthy weight.
- Keep the testicles cool.
- Eat an antioxidant-rich diet with nuts, fruit, vegetables and oily fish. See walnuts benefits for men and omega-3 benefits for men.
- Get enough zinc and folate. See zinc benefits for men sexually.
- Manage stress and sleep well.
- Avoid steroids and testosterone products, which suppress sperm.
Sperm take about 2 to 3 months to develop, so give changes at least three months.
How we can help
Our naturopaths can build a natural plan to support sperm health and vitality, and refer you for semen analysis and medical assessment. Read also how to increase sperm motility.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Have you noticed a change in the amount, colour or consistency of your semen?
- Do you feel pain or burning during or after ejaculation?
- Have you had trouble ejaculating, or does it take much longer than before?
- Do you smoke, drink most days, or sit for long hours?
- Are you and your partner trying for a baby?
Pain, burning, blood in the semen or a sudden change should be checked by an appropriately registered medical professional first. For lifestyle-related changes, a naturopath can help you build a natural plan to support healthy function.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our men’s clinic prices for details.
Frequently asked questions
How do I know if I am infertile as a man?
Many men have no symptoms. Not conceiving after 12 months of trying is the main sign, and a semen analysis confirms sperm health.
What causes male infertility?
Varicocele, infections, hormone problems, steroids, smoking, alcohol, weight, heat and some medicines are common causes.
Can male infertility be improved naturally?
Lifestyle changes can improve sperm quality over about three months, though some causes need medical treatment.
What is a semen analysis?
A lab test of semen volume, sperm count, movement and shape.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Get personalised, natural support from a naturopath. Walk in at our Sandton practice, or book a remote consultation if you live outside Gauteng.
References and further reading
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
